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-  2017 

保留髌下脂肪垫的高位前侧入路在膝关节镜手术中的应用 Application of the High Anterior Approach of Knee Arthroscopy to Keep the Infrapatellar Fat Pad

Keywords: 髌下脂肪垫,膝关节镜,高位前侧入路

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Abstract:

目的:探讨保留髌下脂肪垫的膝关节镜高位前侧入路在膝关节镜手术中应用的临床疗效。方法:回顾性分析2014年10月至2015年10月我院膝关节镜手术60例。其中32例采取膝关节镜高位前侧入路保留髌下脂肪垫;28例采取常规入路,术中刨削部分髌下脂肪垫。记录患者手术时间、关节腔引流量,并于术后6个月进行膝前疼痛VAS评分及膝关节功能Lysholm评分。结果:膝关节镜常规入路切除髌下脂肪垫组与膝关节镜高位前侧入路保留髌下脂肪垫组临床治疗优良率分别为92.9%和93.8%,组间比较差异无统计学意义(P>0.05);但两组间手术时间、关节腔引流量、术后6个月VAS评分、Lysholm评分比较,差异有统计学意义(P<0.05)。结论:膝关节镜手术中,保留髌下脂肪垫对比切除髌下脂肪垫术后疗效优势明显。膝关节镜高位前侧入路在保留髌下脂肪垫的同时保证手术视野的充分暴露,利于手术操作,缩短手术时间,减轻患者术后膝前疼痛,有利于快速康复

References

[1]  Bohnsack M,Wilharm A,Hurschler C,et al.Biomechanical and kinematic influences of a total infrapatellar fat pad resection on the kneen[J].Am J Sports Med,2004,32(8):1 873-1 880.
[2]  Shabshin N,Schweitzer ME,Morrison WB,et al.Quadriceps fat pad edema:significance on magnetic resonace images of the knee[J].Skeletal Radiol,2006,35(5):269-274.
[3]  Bedi A,Raphael B,Maderazo A,et al.Transtibial versus anteromedial portal drilling for anterior cruciate ligament reconstruction:a cadaveric study of femoral tunnel length and obliquity[J].Arthroscopy,2010,26(3):342-350.
[4]  Chang CB,Yoo JH,Chung BJ,et al.Oblique femoral tunnel placement can increase risks of short femoral tunnel and cross-pin protrusion in anterior cruciate ligament reconstruction[J].Am J Sports Med,2010,38(6):1 237-1 245.
[5]  Gelber PE,Reina F,Torres R,et al.Anatomic singlebundle anterior cruciate ligament reconstruction from the anteromedial portal:evaluation of transverse femoral fixation in a cadaveric mode1[J].Arthroseopy,2010,26(5):651-657.
[6]  Sanders RW,DiPasquale TG,Jordan CJ,et al.Semiextended intramedullary nailing of the tibia using a suprapatellar approach:radiographic results and clinical outcomes at a minimum of 12 months follow-up[J].J Orthop Trauma,2014,28(Supple 8):S29-S39.
[7]  Jurgens WJ,van DA,Doulabi BZ,et al.Freshly isolated stromal cells from the infrapatellar fat pad are suitable for a one-step surgical procedure to regenerate cartilage tissue[J].Cytotherapy,2009,11(8):1 052-1 064.
[8]  Sonnery-Cottet B,Archbold P,Zayni R,et al.High lateral portal for sparing the infrapatellar fat-pad during ACL reconstruction[J].Orthopaedics&Traumatology:Surgery&Research,2011,97(8):870-873.
[9]  Clockaerts S,Bastiaansen-Jenniskens YM,Runhaar J,et al.The infrapatellar fat pad should be considered as an active osteoarthritic joint tissue:a narrative review[J].Osteoarthritis Cartilage,2010,18(7):876-882.
[10]  Macchi V,Porzionato A,Sarasin G,et al.The Infrapatellar Adipose Body:A Histotopographic Study[J].Cells Tissues Organs,2016,201(3):220-231.
[11]  Kim SJ,Kim HJ.High portal:practical philosophy for positioning portals in knee arthroscopy[J].Arthroscopy,2001,17(3):333-337.
[12]  徐虎,张春礼,裴国献,等.改良关节镜下前交叉韧带重建术的安全性研究[J].中国微创外科杂志,2011,11(12):1 096-1 107.Xu H,Zhang CL,Pei GX,et al.Safety of improved arthroscopic anterior cruciate ligament reconstruction[J].Chinese Journal of Minimally Invasive Surgery,2011,11(12):1 096-1 107.
[13]  Bastiaansen-Jenniskens YM,Clockaerts S,Feijt C,et al.Infrapatellar fat pad of patients with end-stage osteoarthritis inhibits catabolic mediators in cartilage[J].Ann Rheum Dis,2012,71(2):288-294.
[14]  娄方勇,卫小春.髌下脂肪垫功能及其病变的相关研究[J].中华骨科杂志,2010,30(6):611-613.Lou FY,Wei XC.The related research of infrapatellar fat pad lesion and its function[J].Chinese Journal of Orthopedics,2010,30(6):611-613.
[15]  李健,刘明廷,戚大春,等.影响骨关节炎患者全膝关节置换术后关节功能的相关因素分析[J].中国矫形外科杂志,2012,20(8):704-707.Li J,Liu MT,Qi DC,et al.Analysis of related factors of joint function after total knee arthroplasty in patients with osteoarthritis[J].Chinese Journal of Orthopaedic Surgery,2012,20(8):704-707.
[16]  Bakhsh WR,Cherney SM,McAndrew CM,et al.Surgical approaches to intramedullary nailing of the tibia:Comparative analysis of knee pain and functional outcomes[J].Injury,2016,47(4):958-961.
[17]  Chougule SS,Stefanakis G,Stefan SC,et al.Effects of fat pad excision on length of the patellar tendon after total knee replacement[J].Journal of Orthopaedics,2015,12:197-204.
[18]  Kamei G,Ochi M,Usman MA,et al.A new technique to avoid articular cartilage injury in anterior cruciate ligament reconstruction through far antero-medial portal[J].Orthop Traumatol Surg Res,2014,100(7):827-830.

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